Active NPI
Wellcomemd Richmond Clinic Inc
- Family Medicine Physician
- Richmond, VA
National Provider Identifier
1154832582
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0101102633
- Legal business name
- WELLCOMEMD RICHMOND CLINIC INC
- Practice address
- 2500 Gaskins Rd Ste a
Richmond, VA 23238-1480 - Phone
- (804) 774-7099
- Fax
- (804) 528-5864
- NPI assigned
- Oct 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Neal H Carl, MD
- Title
- Physician
- Phone
- (804) 774-7099
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101102633 | VA | Primary |
| Primary Care Clinic/Center | 261QP2300X | 0101102633 | VA |
Addresses
Primary practice location
2500 Gaskins Rd Ste a
Richmond, VA 23238-1480
Mailing address
2500 Gaskins Road
Suite a
Richmond, VA 23238
Phone (804) 774-7099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7836242 | Other | VA | AETNA |
| 200044896220 | Other | VA | CIGNA |
Other names 1
- VirtuaMD Concierge Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2500 Gaskins Rd
Richmond, VA 23238
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Richmond, VA
- NPI 1255412052
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1265653414
-
- Internal Medicine Physician
- Richmond, VA
- NPI 1609987155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1154832582",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 GASKINS ROAD",
"address_2": "SUITE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23238",
"telephone_number": "804-774-7099",
"fax_number": "804-528-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 GASKINS RD STE A",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232381480",
"telephone_number": "804-774-7099",
"fax_number": "804-528-5864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WELLCOMEMD RICHMOND CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-12",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "CARL",
"authorized_official_first_name": "NEAL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "804-774-7099",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "VA",
"license": "0101102633",
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "VA",
"license": "0101102633",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7836242",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "200044896220",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "VirtuaMD Concierge Medical",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Richmond, VA
- Wendy Ann Welch, MD
- William Welch, M.D.
- Well Into Life LLC (Well Into Life Massage & Bodywork)
- Wellbeing Alliance LLC (Wellbeing Alliance of VA)
- Wellcare Medical Group PC
- Wellcomemd Richmond, LLC
- Alexia Weller, RN, BSN
- Deborah A Weller, N.P.
- Tracy Wellman, MSW
- Wellness From the Roots, PLLC (Wellness from the Roots)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.